Mena, David C

Mena, David C is an individual health care provider with primary practice located at 5325 Faraon St , Saint Joseph MO 64506-3488. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Mena, David C can be contacted via phone (816) 271-6575.

Contact Information

Primary practice address
5325 Faraon St Saint Joseph MO 64506-3488
Phone: (816) 271-6575
Fax: (816) 271-7644
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X 118572 Missouri
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 118572 Missouri

Profile Details

NPI number 1295784767
LBN Legal business name Mena, David C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Jun 29th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295784767 NPPES
Missouri Other 1528169752 SECOND NPI NUMBER FOR MEDICARE GROUP # I23000A
Missouri MEDICAID 100458610F SECOND NPI NUMBER FOR MEDICARE GROUP # I23000A
Missouri MEDICAID 1295784767 SECOND NPI NUMBER FOR MEDICARE GROUP # I23000A
Missouri MEDICAID 208408906 SECOND NPI NUMBER FOR MEDICARE GROUP # I23000A
Missouri Other P00382512 SECOND NPI NUMBER FOR MEDICARE GROUP # I23000A

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